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Follow-Up Care After Leaving the Hospital, Moderate

Illinois rates for HCPCS 99495

This service covers coordinated follow-up care provided to a patient during the weeks after being discharged from a hospital or facility stay, including a check-in and a required follow-up office visit. It applies to cases involving a moderate level of medical decision-making during that transition period.

Rates data updated October 2026.

How much does Follow-Up Care After Leaving the Hospital, Moderate cost?

$166

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $219 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$166$117 to $186
FacilityA hospital or hospital-owned outpatient department$219$170 to $355

How much rates vary

Facilitymedian $219 · 10th to 90th $126 to $1,122Professionalmedian $166 · 10th to 90th $117 to $240
$100$200$500$1K$2Kfacility $219professional $166

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$218.78
Typical High
$371.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$141.25
Typical High
$173.78
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$54.95
Median
$70.79
Typical High
$87.10
Ambetter
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$229.09
Typical High
$263.03
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$208.93
Typical High
$2,041.74
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$204.17
Typical High
$245.47
Cigna
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$190.55
Typical High
$323.59
Hally Health
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$190.55
Typical High
$295.12
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$173.78
Typical High
$275.42
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$467.74
United
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$186.21
Typical High
$295.12

Where Illinois sits

The same service costs 2.8 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 26th of 51

$166

AK $339KY $120

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.